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The Health of Minorities in Rhode Island: Report to the Minority Health Advisory Committee PDF

82 Pages·1993·3.8 MB·English
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Preview The Health of Minorities in Rhode Island: Report to the Minority Health Advisory Committee

The Health RHODE ISLAND of Minorities in Rhode Island Office of Health Statistics Rhode Island Department of Health Bruce Sundlun Barbara A. DeBuono, MD, MPH Governor Director of Health K , 1 'k sr- ,I r . -". !y\^r^^r^2^:•3ri^ DEPSTAATEROF RTHOMDE IESLANDWA&MFMSBOVOIDEFNCE PLHANTEATIAONSLTH BarbaraA. DeBuono,M.D.,M.P.H. DirectorofHealth May 14, 1993 Dear Friends: It is my pleasure to send you this report on The Health of Minorities in Rhode Island. Most of us already know that there is a distressingly wide, and in some cases, growing gap in health status between people of color and the white population. In Rhode Island, as elsewhere, the incidence of heart disease, cancer, strokes, and diabetes are all rising for people of color, and homicide is now a leading cause of death for African-American males. One of the overarching goals of Healthy People 2000: the Year 2000 Health Objectives is to reduce the health disparities among populations. The goal of this document is to provide the health indicators and patterns of health behavior and health care utilization which will help us assess the health status of Rhode Island's diverse population. Working in conjunction with the Department of Health's Minority Health Advisory Committee, our Office of Minority Health will use this baseline report as a foundation for a state plan aimed at narrowing that gap, and addressing the health concerns of African-American, Hispanic, Native American, Southeast Asian, and other communities of color. All of Rhode Island has a major stake in improving the health status of people of color. I hope that you find The Health of Minorities in Rhode Island to be an informative and thought- provoking statement of where Rhode Island stands as we continue our efforts to improve the health of all populations. Sincerely, ^,,^ Barbara A. DeBuono, MD, MPH Director of Health CANNON BUILDING,ThreeCapitol Hill, Providence, RhodeIsland02908-5097 Telephone401-277-2231, FAX277-6548 Ofticc, of Minority Health Resource Center PO Box 37337 Washington, DC 20013-7337 THE HEALTH OF MINORITIES IN RHODE ISLAND Report to The Minority Health Advisory Committee May 1993 Jana E. Hesser, PhD Jay S. Buechner, PhD Office of Health Statistics Rhode Island Department of Health Bruce Sundlun Barbara A. DeBuono, MD, MPH Governor Director of Health ...lO Acknowledgements The authors gratefully acknowledge the many Rhode Island Department of Health staff members who have provided information presented in this report. In particular, the Office of Data and Evaluation in the Division of Family Health and the Offices of AIDS/STDs and of Epidemiology and Communicable Diseases in the Division of Disease Control have submitted data in support of major sections of the report. The contributions of the many thoughtful reviewers, including the members of the Minority Health Advisory Committee and staff throughout the Department, have been greatly appreciated. Finally, the considerable assistance of several individuals deserves specific mention: Janice Fontes of the Office of Health Statistics for computer programming and preparation of graphics, and Sharon Bryant, PhD, Minority Health Coordinator for the Department, for discussions and support throughout the development of the report. Support for the preparation of this report has been provided in part by the Cooperative Agreement for Chronic Disease Prevention and Control between the Rhode Island Department of Health and the Centers for Disease Control (No. U58/CCU1 00589-10). TABLE OF CONTENTS Minority Health Advisory Committee i Executive Summary ii Introduction 1 Rhode Island's Minority Populations 2 Mortality 5 Natality 8 Reportable Diseases 13 Immunization for Childhood Diseases 18 1990 Rhode Island Health Interview Survey 20 Health Status 21 Health Risk Behaviors 24 Use of Health Care Providers 30 Coverage by Health Insurance 34 Conclusion 36 Appendix: Detailed Tables MINORITY HEALTH ADVISORY COMMITTEE RHODE ISLAND DEPARTMENT OF HEALTH Terry Addison Brother to Brother Melvin Bell Rhode Island Foundation John Brown Narragansett Tribal Council B. Jae Clanton Urban League of Rhode Island MD Barbara DeBuono, Rhode Island Department of Health Linda Dziobek Travelers Aid Society of Rhode Island MD Glen Garzon Fort, St. Joseph Hospital, Providence Unit Charles Fortune Haitian Association of Rhode Island Jean Hicks New Visions for Newport County Barbara Inderlin Northern Rhode Island Community Mental Health Center Rev. Willie Jannes The Gathering Joseph Lee Socio-Economic Development Center for Southeast Asians Peter Lee John Hope Settlement House Mary Lima Rhode Island Department of Human Services Marta Martinez Center for Hispanic Policy and Advocacy Patricia Martinez Progreso Latino MD Alicia Monroe, Department of Family Medicine, Memorial Hospital Vidal Perez Providence Ambulatory Health Care Foundation, Inc. MD Pablo Rodriguez, Planned Parenthood of Rhode Island True Thao John Hope Settlement House Darrell Waldron Rhode Island Indian Council Staff: Sharon Bryant, PhD Rhode Island Department of Health

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